Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 467 - MEDICALLY HANDICAPPED CHILDREN'S PROGRAM
Chapter 3 - DIAGNOSES AND SERVICES FOR THE MEDICALLY HANDICAPPED CHILDREN'S PROGRAM
Section 467-3-016 - ORTHOPEDIC DIAGNOSIS AND SERVICES

Universal Citation: 467 NE Admin Rules and Regs ch 3 ยง 016

Current through September 17, 2024

This service provides treatment for general orthopedic problems, congenital or acquired, excluding recent fractures.

016.01 MEDICAL ELIGIBILITY CONSIDERATIONS. Common diagnoses covered are talipes equinovarus, arthrogryposis, Legg-Calve-Perthes disease, congenital dislocation of the hip, and the need for prostheses. Spinal cord injuries may be considered for rehabilitative care. Additional diagnoses that may be considered are tibial torsion, bowed legs, torn medial meniscus, leg length discrepancy, and fractures that have not healed properly. Other severe and chronic orthopedic conditions may be considered.

016.01(A) MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for orthopedic.

016.01(B) CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met.

016.02 SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.

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